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2006-10-10 AndersenTO BE FILED Real Estate Transfer Statement FORM WITH REGISTER Read instructions on reverse side OF DEEDS 521 THE DEED WILL NOT BE RECORDED UNLESS THIS STATEMENT IS SIGNED AND LINES 1-25 ARE ACCURATELY COMPLETED 1 County Name 2 County Number 3 Date of Sale 4 Date of Deed Mo. Day —Yr. Mo. — Day —Yr. 5 Grantor's Name, Address, and Telephone (Please Print) 6 Grantee's Name, Address, and Telephone (Please Print) Grantor's Name (Seller) Grantees Name (Buyer) Street or Other Mailing Address Street or Other Mailing Address city State Zip Code city State Zip Code Telephone Number Telephone Number PROPERTY CLASSIFICATION NUMBER. Check one box in categories A and B. Check C also if property is mobile home. Status (B) Property Type (C) (1)❑ Improved (1)❑ Single Family (4) ❑ industrial (6) ❑ Recreational (8) ❑ Mineral Interests- (9) E:] State Assessed (1) F Mobile Home (2)❑ Unimproved (2)❑ Multi-Family (5) ❑ Agricultural (7) E:1 Mineral Interests- Producing (10) [:] Exempt (1) F 1 Tn I I I(I)F-1 Nonproducing I 13 Was sale between relatives? (If Yes, check appropriate box) F — ] YES nJ40 ❑ Spouse ❑ Parents and Child ❑ Family Corporation or Partnership ❑ Grandparents and Grandchild ❑ Brothers and Sisters ❑ Aunt or Uncle to Niece or Nephew [:] Other, 14 If the real estate was transferred for nominal consideration, what is the current market 15 was mortgage assumed? umed? If Yes, state amount and interest rate. 1:1 value? YES 11 NO $ % 16 Does this conveyance divide a current parcel of land? 17 Was sale through a real estate agent? (if Yes, name of agent) ❑ YES ❑NO ❑YES [:]-Nb IS Address of Prope rty 119 Name and Address of Person to Whom Tax Statement Should be Sent 20 Legal Description j 21 If agricultural, list total number of acres 22 Total purchase price, including any liabilities assumed ............................................. 22 23 Was nonreal property included in purchase? ❑ YES L:1 NO (if Yes, enter amount and attach itemized list) 23 24 Adjusted purchase price paid for real estate (line 22 minus line 23) ................................... 2, 4,' Under penalties of law, I declare that I have examined this statement and that it is, to the best of my knowledge and belief, true and correct, and that I am duly authorized to sign this statement. 25 t' Si gn ® Print or Type Name of Grantee or Authorized Representative Telephone Number here Signature of Grantee or Authorized Representative Title Date I REGISTER OF DEEDS' USE ONLY FOR NDR USE ON 26 Date Deed Recorded 27 Value of Stamp or Exempt Number 28 Deed Book 29 Deed Page 30 Mo. — Day —Yr. Nebraska Department of Property Assessment & Taxation Authorized by Sections 76-214, 77-1327, R.R.S. 1943 Form No. 2-146-67 Rev. 12-00 Supersedes 2-146-67 Rev, 9-94 0-& NEBRASKA DEPARTMENT OF REVENUE — White Copy COUNTY ASSESSOR Canary and Pink Copies GRANTEE — Goldenrod Copy q,d printed with soy ink on recycled paper -4 2 9v ORDINANCE NO. 1991 AN ORDINANCE VACATING THE FOLLOWING DESCRIBED PROPERTY: THE WEST 10.00 FEET OF THE DEDICATED RIGHT OF WAY OF 24 STREET LYING ADJACENT TO AND ABUTTING THE WEST LINE OF LOT 9 IN BLOCK 8 DEXTER'S ADDITION TO THE CITY OF BLAIR, WASHINGTON COUNTY, NEBRASKA, REPEALING ALL ORDINANCES OR PARTS OF ORDINANCES IN CONFLICT HEREWITH, AND PROVIDING WHEN THIS ORDINANCE SHALL BE IN FULL FORCE AND EFFECT. BE IT ORDAINED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF BLAIR, NEBRASKA, AS FOLLOWS: SECTION 1. The following described property: the East 10.00 feet of the dedicated right of way of Twenty -Fourth Street lying adjacent to and abutting the West line of Lot 9 in Block 8, Dexter's Addition to the City of Blair, Washington County, Nebraska, (See Exhibit A attached hereto and incorporated herein by reference) is hereby vacated and the ownership of the same, pursuant to Neb. Rev. Stat. § 16 -611, shall revert to the owners of the adjacent real estate, one -half on each side thereof. SECTION 2. All ordinances or parts of ordinances in conflict herewith are hereby repealed. SECTION 3. This ordinance shall be in full force and effect from and following the passage and publication hereof as required by law. PASSED AND APPROVED this 13th day of January, 2004. CITY OF BLAIR, NEBRASKA r '3'�: ATTEST: o il I (SEAL) 291 STATE OF NEBRASKA ) ):ss: WASHINGTON COUNTY ) BRENDA R. TAYLOR, hereby certifies that she is the duly appointed, qualified and acting City Clerk of the City of Blair, Nebraska, and that the above and foregoing Ordinance was passed and approved at a regular meeting of the Mayor and City Council of said City held on the 13th day of January, 2004 BRENDA R. TAYLOR, Cr CLERK 2 9 N I a3y�i JCIJ4 60.0' I I b cq a 60..o „ �°, 17 60,0 W DEXrERS a 9 e e _ • \ , I T a 5 lrl 360, O' 10' 60.0, a33� 0 6 5 n " 60.0' /50.0' t t _ PARS 360.0 14 io 60.0 13 © a � O `' 3e 0 30 /50. 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